Definition Grade IL Grade IIL Grade Ila Grade Ib Grade IV Grade IVa Grade IVb Grade V Suffix “a” Any deviation from the normal postoperative course without the need for pharmacological treatment or surgical, endoscopic, and radiological interventions Allowed therapeutic regimens are: drugs as anticmetics, antipyrctics, analgetics, diuretics, electrolytes, and physiotherapy. This grade also includes wound infections opened at the bedside ‘Requiring pharmacological treatment with drugs other than such allowed for grade 1 complications ‘Blood transfusions and total parenteral nutrition are also included ‘Requiring surgical, endoscopic or radiological intervention Intervention not under general anesthesia Intervention under general ancstnesia Life-threatening complication (including CNS complications)* requiring IC/ICU management Single organ dysfunction (including dialysis) Multiorgan dysfunction Death of a patient If the patient suffers from a complication at the time of discharge (see examples in Table 2), the suffix “A” (for “disability") is added to the respective grade of complication, This label indicates the nced for a follow-up to fully evaluate the complication, ‘Brain hemonthuge, ischemic stoke, subarrachnoidal bleeding, but excluding wansieat ischemic attacks. CNS, central nervous system; IC, intermediate care; ICU, intensive care unit,